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颞肌瓣在颌面组织重建中的应用

Temporal muscle flap in reconstruction of maxillo-facial tissues.

作者信息

Krzymański Grzegorz, Dąbrowski Jarosław, Przybysz Jan, Domański Wojciech, Biernacka Barbara, Piętka Tomasz

机构信息

Department of Maxillofacial Surgery, Military Institute of Medicine, Warsaw, Poland.

出版信息

Contemp Oncol (Pozn). 2012;16(3):244-9. doi: 10.5114/wo.2012.29293. Epub 2012 Jul 6.

Abstract

AIM OF THE STUDY

Presents our experience in reconstruction of postsurgical defects with use of temporal muscle flap.

MATERIAL AND METHODS

In the years 1996-2010 we treated 10 patients with malignant neoplasms of maxillo-facial region. Following tumor removal the fascia-muscle flaps of temporal muscle were used for reconstruction. Temporal muscle flaps were applied in 5 cases for reconstructing the defect of eye socket tissue after extensive resections and in the other 5 patients was used for reconstructing the defect of palate following maxillary resections.

RESULTS

All the flaps of temporal muscle that were used for reconstructing eye sockets incorporated with no local reaction. In one case of flap applied into the oral cavity for tightly separate from nasal, partial necrosis of flap's edge and oro-nasal fistula occurred.

CONCLUSIONS

Fascia-muscular flap of temporal muscle is a simple, easy and effective method of tissue reconstruction in maxillo-facial region following extensive oncologic procedures.

摘要

研究目的

介绍我们使用颞肌瓣修复术后缺损的经验。

材料与方法

1996年至2010年期间,我们治疗了10例颌面部恶性肿瘤患者。肿瘤切除后,使用颞肌的筋膜肌瓣进行修复。颞肌瓣在5例患者中用于广泛切除后眼眶组织缺损的修复,另外5例患者用于上颌骨切除后腭部缺损的修复。

结果

所有用于修复眼眶的颞肌瓣均顺利愈合,无局部反应。1例将瓣应用于口腔以与鼻腔紧密分离时,瓣边缘部分坏死并发生口鼻瘘。

结论

颞肌筋膜肌瓣是广泛肿瘤手术后颌面部组织修复的一种简单、易行且有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e93b/3687414/b7b21b5dc48f/WO-16-18850-g001.jpg

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